CPT 0255T
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
EVASC RPR ILIAC ART BIFR S&I
Low
$1
Average
$1.6k
Median
$245
High
$14.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 23.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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30 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $14.9k | $14.9k | $5.7k | 38% | — | $9.2k – $20.6k |
| 2 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 3 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $210 | $226 | $23 | 10% | — | $210 – $259 |
| 4 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $210 | $226 | $23 | 10% | — | $210 – $259 |
| 5 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 6 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 7 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO case rate · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 11 | Cheshire Medical Center Keene, NH facility · case rate · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $914 | $914 | — | — | — | $914 – $914 |
| 13 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 14 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $209 | $209 | — | — | — | $209 – $209 |
| 15 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $209 | $231 | $32 | 14% | — | $209 – $276 |
| 16 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $215 | $229 | $21 | 9% | — | $215 – $259 |
| 17 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $215 | $229 | $21 | 9% | — | $215 – $259 |
| 18 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $232 | $247 | $21 | 8% | — | $232 – $276 |
| 19 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $232 | $247 | $21 | 8% | — | $232 – $276 |
| 20 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $914 | $914 | — | — | — | $914 – $914 |
| 21 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $226 | $245 | $26 | 11% | — | $226 – $281 |
| 22 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $226 | $245 | $26 | 11% | — | $226 – $281 |
| 23 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $179 | $179 | — | — | — | $179 – $179 |
| 24 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $331 | $331 | $64 | 19% | — | $267 – $394 |
← Payers reporting CPT 0255T · Snapshot 20261113T090226Z-3ce6c0b8